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Massachusetts rates for HCPCS A9517

Iodine I-131 sodium iodide capsule(s), therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $329.99 / $5,839.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $36.40 / $58.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.55 / $653.75 / $742.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $53.83 / $664.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.17 / $88.52 / $149.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $270.95 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.63 / $301.07 / $458.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.55 / $709.98 / $709.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $42.84 / $664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $42.84 / $57.27